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电视胸腔镜治疗恶性胸腔积液(附26例分析)

Malignant Pleural Effusion of 26 Cases Treated with Video-Assisted Thoracoscopy

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【作者】 潘引鹏邵仲凡董淑敏张剑钟

【Author】 PAN Yin-peng,SHAO Zhong-fan,DONG Shu-min,et al.(Department of Thoracic Surgery,The First People’s Hospital of Lianyungang City,Lianyungang 222002,China)

【机构】 江苏省连云港第一人民医院胸外科

【摘要】 目的:总结电视胸腔镜治疗恶性胸腔积液的临床经验。方法:纳入电视胸腔镜治疗恶性胸腔积液26例,全麻下通过胸腔镜吸除积液,后喷洒无菌滑石粉形成胸膜固定。结果:电视胸腔镜术后患者生活质量明显改善,有效率100%。26例患者除1例术后2个月因肿瘤脑转移死亡外,余25例患者生存期均超过6个月。获得了良好的治疗效果。结论:电视胸腔镜治疗恶性胸腔积液是一种微创、有效、实用的治疗方法。

【Abstract】 Objective:To summarize the clinical experience of malignant pleural effusion treated with video-assisted thoracoscopy(VATS).Methods:26 patients with malignant plerual effusion were treated with VATS in our hospital.Pleural effusion was drained out completely by thoracoscopy under general anesthesia,pleurodesis was carried out by spraying sterilize talc powder intracavitary.Results:The life quality of all patients was improved highly after VATS,the efficacy of treatment is 100%.Only one patient died of the brain metastasis tumor after 2 months of operation,the other 25 cases survived over 6 months.Conclusions:Video-assisted thoracoscopic surgery is a minal invasive and effective way for malignant pleural effusion.

  • 【文献出处】 航空航天医药 ,Aerospace Medicine , 编辑部邮箱 ,2010年02期
  • 【分类号】R730.53
  • 【被引频次】5
  • 【下载频次】48
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